Szemészet, 2006 (143. évfolyam, 1-4. szám)
2006-12-01 / 4. szám
143. évfolyam (2006) Supplementum I. formed 7 months later. The average age of the patients at the time of the operation was 30 years. Follow-up time was 2-60 months. Results: Contact lenses were fitted (on average) 14.5 months after the operation. Perfect vision was achieved in all cases. In 3 cases soft lenses, in 7 cases rigid gas-permeable (RGP) lenses, and in the remaining 2 cases “piggy-back” (soft -I- RGP) fitting was used. Visual acuity without correction was 0.17±0.12, and with glasses 0.75±0.17; while with contact lenses an acuity of 0.99 was achieved. No complications related to contact lens wearing were experienced. At the present time 11 of the patients use lenses. On one eye, due to a perforating injury an ECCE operation had to be performed, and this patient does not use contact lenses. Conclusion: If the keratoplasty does not result in satisfactory vision and the patient refuses to undergo another operation, then wearing contact lenses is the best solution to correct eyesight. Az acanthamoeba keratitisről Kettesy Beáta,1 Komár Tímea,1 Imre László,2Módis László1 'DE OEC, Szemklinika, Debrecen 2SE, Szemklinika, Budapest Magyarországon az elmúlt években megsokszorozódott a kontaktlencse viselés során kialakuló acanthamoeba keratitisek száma. A kurzus során saját betegeink és a szakirodalom alapján bemutatjuk a kórkép rizikófaktorait, (kontaktlencse típusok, ápolószerek), a folyamat pathogenezisét, a diagnosztikai lehetőségeket, valamint a konzervatív és műtéti terápiákat. Acanthamoeba keratitis Beáta Kettesy,1 Tímea Komár,1 László Imre,2 László Módis1 University of Debrecen Medical and Health Science Centre, Department of Ophthalmology 2Semmelweis University, Budapest, Department of Ophthalmology The number of Acanthamoeba keratitis cases has multiplied in recent years in Hungary as a consequence of contact lens wearing. The course, based on the database of our patients, presents the risk factors (contact lens types, cleaning solutions), the pathogenesis of the disease and the diagnostic possibilities, and summarises the conservative and surgical treatment options. Treatment of orbital lymphangioma using intralesional injection of OK 432 (Group A Streptococcus pyogenes, Picibanil) A. Klein,1 M. Riccabona,2 G. Schimpl,3 A. Langmann,1 S. Lindner,1 G. Langmann1 'Medical University Eye Hospital, Graz (Austria) 2Medical University of Graz: Division of Paediatric Radiology 3Medical University of Graz: Department of Paediatric Surgery Purpose: to report our treatment of a case of orbital lymphangioma using intralesional injection of OK 432. Patient and method: A three-year-old boy presented with an orbital macrocystic lymphangioma (intra- and extraconal, and in the lower eyelid). There was no compression of the optic nerve but due to the large size and bulbus deviation the child was highly amblyopic. Previous treatments elsewhere such as injection of steroids had been with
